33268

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest

Medicare pricing data for 2,785 providers across 49 states

🤖AI Overview

Prices vary significantly by location — from $64 in Delaware to $140 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest (HCPCS code 33268) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.15, but hospitals typically charge $363.95 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $88.15, your out-of-pocket cost would be approximately $17.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$88.15
Average Hospital Charge
$363.95
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$363.95
Medicare Allowed$88.15
Medicare Payment$70.37

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $70.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$140$363428+59.4%
Nevada$109$2952366+23.3%
New York$108$621114340+22.7%
Missouri$106$30470320+20.7%
Oklahoma$106$31224130+20.3%
West Virginia$106$3431591+20.1%
Kansas$104$26432206+18.4%
Minnesota$99$73542120+11.9%
Texas$95$3881941,373+7.9%
Georgia$94$33066240+7.0%
Ohio$93$350117538+6.0%
North Dakota$93$5301277+5.4%
Massachusetts$93$33463145+5.1%
Illinois$92$527124530+4.5%
New Mexico$91$2541168+3.6%
Kentucky$91$25151244+3.5%
Alaska$90$342420+1.9%
New Jersey$90$81663296+1.7%
Wisconsin$89$85966349+1.3%
Michigan$89$262113473+0.9%
Colorado$89$27041130+0.6%
Hawaii$89$279515+0.6%
Tennessee$88$33956282+0.0%
Florida$88$3352511,800-0.3%
California$88$3202101,083-0.4%
Arkansas$87$23325178-0.9%
Utah$87$3101664-1.2%
Maryland$87$26231137-1.7%
Arizona$87$43148250-1.7%
Virginia$84$34167230-4.4%
Pennsylvania$83$340169575-6.4%
South Carolina$82$31962486-6.5%
Mississippi$80$2402282-8.9%
Iowa$80$3192673-9.4%
New Hampshire$79$5402565-9.9%
Louisiana$79$26428309-10.9%
Alabama$78$22354325-11.4%
Montana$78$3362176-11.8%
Nebraska$77$2682352-12.5%
North Carolina$77$293100513-12.9%
Indiana$76$34787441-13.8%
South Dakota$76$16011149-13.9%
Idaho$76$28919164-14.4%
Connecticut$75$3552034-15.4%
Washington$70$22070210-20.4%
Maine$70$3721652-20.7%
Oregon$68$22848143-22.4%
Vermont$65$567517-26.3%
Delaware$64$2391679-27.2%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber